Individual
DR. PADMA SURAPANENI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
33101 ANNAPOLIS ST, WAYNE, MI 48184-2405
(734) 721-0200
(734) 721-2008
Mailing address
33101 ANNAPOLIS ST, WAYNE, MI 48184-2405
(734) 721-0200
(734) 721-0200
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
4301064385
MI
Other
Enumeration date
11/23/2007
Last updated
09/29/2008
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